Provider Demographics
NPI:1871841007
Name:APRIL SMITH GONZALEZ PA
Entity Type:Organization
Organization Name:APRIL SMITH GONZALEZ PA
Other - Org Name:OSTEOPATHIC FAMILY WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:R
Authorized Official - Last Name:SMITH-GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:407-456-2977
Mailing Address - Street 1:5555 E MICHIGAN ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-2700
Mailing Address - Country:US
Mailing Address - Phone:407-456-2977
Mailing Address - Fax:
Practice Address - Street 1:5555 E MICHIGAN ST
Practice Address - Street 2:SUITE 103
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-2700
Practice Address - Country:US
Practice Address - Phone:407-456-2977
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OSTEOPATHIC FAMILY WELLNESS CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-20
Last Update Date:2020-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS11034207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty